FLEXIBLE OPTIONS FOR:

HEALTH PLANS | EMPLOYER GROUPS | UNION PHARMACY BENEFIT | MUNICIPALITIES | TPAs | BROKERS | HOSPITALS

AscellaHealth‘s mission is to offer an innovative, specialty (SPBM) delivery model that provides customized, unique and cost savings specialty pharmacy solutions—all of which are tailored to the needs of our unique clients. By integrating medical and pharmacy benefits, our clients can engineer a plan that works best for them.


SPECIALTY PHARMACY MANAGEMENT

Cost containment requires a multifaceted approach through analysis of specialty drug utilization. These include:

    Aggressive contracting
    Effective evidence based prior authorizations and clinical pathways
    Site of care optimization
    (LDD) Limited Distribution Drug access

LIMITED SPECIALTY DRUG PROGRAM:

Cost savings through cost containment of LDD drugs, utilization management, therapy optimization programs, and pharmacy network services.

    Rebate management services
    Clinical services
    Wraparound services and network

CLINICAL SERVICES:

Therapy optimization programs expand clinical services for managing high-cost specialty drugs and provide added value in patient care.

    Formulary management
    Claims processing edits
    Focused medication management programs

PHARMACY NETWORK:

Clients enjoy the benefits of an inclusive pharmacy network for specialty Rx prescriptions. Direct network access provides specialty drug information in one platform, with real-time data and analytics.

    Absolute prescription control through a network of trusted specialty pharmacies
    Prior authorization and real-time benefits verification
    Prescription fill dates and refill alerts
    Pharmacy fulfillment accuracy and turnaround time
    Integration of both medical and pharmacy benefits with comprehensive, customizable solutions
    Specialty network and distribution programs, as well as targeted clinical programs that provide true savings and formulary adherence